NPI | 1033188321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 112386) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 53-44576) |
363LG0600X Nurse Practitioner Gerontology (Licence: KS 53-44576) | |
Enumeration Date | 2006-03-17 |
Last Update Date | 2022-12-06 |